Individual
MRS. TANUJA KOTHINTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2 TAMPA GENERAL CIR, TAMPA, FL 33606-3571
(813) 974-2201
(813) 974-4325
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
(813) 974-2201
(813) 974-4325
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
ME148946
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110904500
—
FL
01
—
ZOX01
BLUE CROSS BLUE SHIELD
FL
Enumeration date
08/03/2015
Last updated
03/13/2025
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